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Head & Neck - Radical surgery

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Head & Neck Radical Surgery

Comprehensive Surgical Treatment for Advanced Head & Neck Cancers

What is Head & Neck Radical Surgery?

Radical surgery for head and neck cancers involves the complete removal of cancerous tissue along with surrounding structures, lymph nodes, and sometimes part of the jaw, throat, or voice box (depending on the location and extent of cancer). It is usually performed in advanced or recurrent cancers where less extensive treatments are not sufficient.

This procedure is often part of a multidisciplinary cancer care plan, which may include radiation therapy, chemotherapy, and reconstructive surgery.

When is Radical Head & Neck Surgery Recommended?

Radical surgery is typically advised for:

  • Advanced head & neck cancers (stage III or IV)
  • Recurrent tumors after radiation or chemotherapy
  • Cancers involving lymph nodes, skin, bone, or nearby vital structures
  • Malignancies of the oral cavity, oropharynx, larynx, hypopharynx, salivary glands, or thyroid

Types of Radical Head & Neck Surgeries

  1. Radical Neck Dissection
  2. Removal of lymph nodes and surrounding tissues in the neck to control cancer spread.

  3. Composite Resection
  4. Combined removal of a tumor along with affected jawbone, muscles, or part of the throat or tongue.

  5. Laryngectomy
  6. Complete or partial removal of the voice box (larynx) in laryngeal cancers.

  7. Pharyngectomy or Glossectomy
  8. Removal of part or all of the pharynx or tongue when cancer is extensive.

  9. Reconstructive Surgery

Microsurgical or flap-based reconstruction of removed tissues to restore function and appearance.

What to Expect During Surgery

  • Performed under general anesthesia
  • May last several hours, depending on complexity
  • Reconstruction may be done in the same stage or later
  • Tracheostomy or feeding tube may be temporarily placed for breathing/nutrition

Post-Surgical Recovery and Care

  • Hospital stay: Usually 5–10 days
  • Recovery time: Several weeks to months
  • Regular follow-ups for wound healing, cancer surveillance, and rehabilitation
  • Speech therapy, swallowing therapy, and nutritional support may be required

Risks & Complications

While radical head & neck surgery can be life-saving, potential complications include:

  • Bleeding or infection
  • Nerve damage (affecting speech, shoulder movement, or swallowing)
  • Difficulty in speaking, eating, or breathing
  • Cosmetic and emotional impact
  • Long-term rehabilitation needs

Why Choose Dr. Harish NL for Head & Neck Cancer Surgery?

  • Highly skilled surgical oncologist
  • Expertise in complex, life-saving radical procedures
  • Advanced reconstruction & rehabilitation support
  • Multidisciplinary care — ENT, Oncology, Speech Therapy, Nutrition, Psychology
  • Personalized treatment & follow-up plans

Fighting advanced head and neck cancer? Trust experienced hands for safe, effective, and compassionate surgical care.